Admit Procedure: Difference between revisions

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== Collection Instructions ==

*~~Code~~ a procedure ~~as [[Px_Type]]~~ '''~~admit~~'~~'' if it was:~~

*An admit procedure is a procedure related to the ''start of the database record'' in question

**(a~~) Performed '''within 48 hrs'''~~(~~''[[#Why within 48 hrs?]]''~~) ~~BEFORE~~ the [[~~Accept DtTm~~]]

**As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit procedure only relates to the very start of that database record. Procedures that do not qualify as an admit procedure will be acquired procedures.

**(b) '''~~AND~~''' ~~Was performed in a unit or location that we DO NOT COLLECT, see below [[#Moved patients]]~~

{{Ex |

**(c) '''AND'''

Admitted to MICU for sepsis --> 2 days later develops an acute abdomen and goes to OR where gets a bowel resection --> goes to PACU --> goes to SICU service and SICU as location. Since the ADMISSION of this continuous episode of ICU care (i.e. MICU-->SICU) was to MICU, and we do not begin a new record with the switch to SICU, this bowel resection is an acquired procedure, not an admit procedure}}

::* (i) ~~was~~ '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]])

*CODE A PROCEDURE AS [[Px_Type]] '''admit''' IF AT LEAST 1 OF 'A' ''AND'' 1 OF 'B':

~~:::~~*OR

*(A) -------------------------------------------------------------------------------------------------------------------------

::* (ii) ~~was~~ directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])

**(i) '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) ''OR''

* OR

**(ii) directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]]) ''OR''

** a transplant during the current "hospital episode" (i.e. including this and other hospitals) and was '''directly, causally''' related to the current ward/unit admission

**(iii) an organ transplant during the current "hospital episode" (i.e. including this and other hospitals) and was '''directly, causally''' related to the current ward/unit admission

*'''AND'''

*(B) -------------------------------------------------------------------------------------------------------------------------

**(i) Performed '''no more than 48 hrs'''(''[[#Why within 48 hrs?]]'') BEFORE the start of this record, i.e. the [[Admit DtTm]] for the start of the record ''OR''

**(ii) Irrespective of whether it's within 48 hours (this could be outside of current hospitalization), if the association of that procedure with the admission is abundantly obvious (as per data collector discretion)

=== Recurring procedures ===

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[[Category: CCI]]

[[Category:CCI]]

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 == Collection Instructions ==
-*Code a procedure as [[Px_Type]] '''admit''' if it was:
+*An admit procedure is a procedure related to the ''start of the database record'' in question
-**(a) Performed '''within 48 hrs'''(''[[#Why within 48 hrs?]]'')  BEFORE the [[Accept DtTm]]
+**As of October 2020, a single record may span direct transfers between different locations and even between different services.  Accordingly, an admit procedure only relates to the very start of that database record.  Procedures that do not qualify as an admit procedure will be acquired procedures.
-**(b) '''AND''' Was performed in a unit or location that we DO NOT COLLECT, see below [[#Moved patients]]
+{{Ex |
-**(c) '''AND'''
+Admitted to MICU for sepsis --> 2 days later develops an acute abdomen and goes to OR where gets a bowel resection --> goes to PACU --> goes to SICU service and SICU as location. Since the ADMISSION of this continuous episode of ICU care (i.e. MICU-->SICU) was to MICU, and we do not begin a new record with the switch to SICU, this bowel resection is an acquired procedure, not an admit procedure}}
-::* (i) was '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]])
+*CODE A PROCEDURE AS [[Px_Type]] '''admit''' IF AT LEAST 1 OF 'A' ''AND'' 1 OF 'B':
-:::*OR
+*(A) -------------------------------------------------------------------------------------------------------------------------
-::* (ii) was directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])
+**(i) '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) ''OR''
-* OR
+**(ii) directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]]) ''OR''
-** a transplant during the current "hospital episode" (i.e. including this and other hospitals) and was '''directly, causally''' related to the current ward/unit admission
+**(iii) an organ transplant during the current "hospital episode" (i.e. including this and other hospitals) and was '''directly, causally''' related to the current ward/unit admission
+*'''AND'''
+*(B) -------------------------------------------------------------------------------------------------------------------------
+**(i) Performed '''no more than 48 hrs'''(''[[#Why within 48 hrs?]]'') BEFORE the start of this record, i.e. the [[Admit DtTm]] for the start of the record ''OR''
+**(ii) Irrespective of whether it's within 48 hours (this could be outside of current hospitalization), if the association of that procedure with the admission is abundantly obvious (as per data collector discretion)
 === Recurring procedures ===
@@ Line 61: / Line 67: @@
-[[Category: CCI]]
+[[Category:CCI]]